Organization Active NPI

Premier Estates 522, LLC

Doing business as Premier Estates of Cincinnati-Riverside

  • Skilled Nursing Facility
  • Cincinnati, OH
National Provider Identifier
1851803266
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PREMIER ESTATES 522, LLC
Doing business as
Premier Estates of Cincinnati-Riverside
Practice address
315 Lilienthal St
Cincinnati, OH 45204-1170
Phone
(513) 471-8667
NPI assigned
Oct 26, 2017
Last updated
Feb 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Adrianna Bancroft
Title
Receptionist
Phone
(941) 758-4745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

315 Lilienthal St
Cincinnati, OH 45204-1170

Mailing address

5115 E State Road 64
Bradenton, FL 34208-5509
Phone (941) 758-4745

Other identifiers 1

IdentifierTypeStateIssuer
0250604MedicaidOH

Other names 1

  • Premier Estates of Cincinnati-Riverside Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1851803266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085509",
            "telephone_number": "941-758-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LILIENTHAL ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452041170",
            "telephone_number": "513-471-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ESTATES 522, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "ADRIANNA",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "941-758-4745",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250604",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Estates of Cincinnati-Riverside",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Estates of Cincinnati-Riverside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.